The outcomes of cardiopulmonary resuscitation in a medical intensive care unit

Michael Waldrum, Nancy E. Dunlap

Research output: Contribution to journalArticle

Abstract

Purpose: The purpose of this study is to define the outcome of cardiopulmonary resuscitation in a medical intensive care unit (MICU). The true mortality rate with confidence intervals will be determined and estimates of resource utilization will be presented. Methods: Using a clinical data base that captures demographic, clinical, physiologic and outcomes information a prospective observational trial was conducted on all patient admitted to the UAB MICU over a 16 month period. Patients that required cardiopulmonary resuscitation were identified, and final disposition and resource utilization was determined. Results: 62 (6.1%) of the 1017 patients admitted to the MICU from 10/94 through 2/96 required CPR. Four patients survived to hospital discharge giving a mortality rate of 93.5% (95% CI 86.7 - 100). An admitting diagnosis of arrhythmia or acute myocardial infarction was associated with survival. Only one patient without a cardiac diagnosis survived. For the patients who did not survive to hospital discharge the average number of days of survival after CPR was 2.52 days. Cost data pending. Conclusions: CPR use in a MICU has a high hospital mortality rate with significant induced resource utilization. Clinical Implications: CPR should be restricted in medical intensive care unit patients to patients most likely to benefit.

Original languageEnglish (US)
JournalChest
Volume110
Issue number4 SUPPL.
StatePublished - Oct 1996
Externally publishedYes

Fingerprint

Cardiopulmonary Resuscitation
Intensive Care Units
Mortality
Survival
Hospital Mortality
Cardiac Arrhythmias
Myocardial Infarction
Demography
Databases
Confidence Intervals
Costs and Cost Analysis

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

The outcomes of cardiopulmonary resuscitation in a medical intensive care unit. / Waldrum, Michael; Dunlap, Nancy E.

In: Chest, Vol. 110, No. 4 SUPPL., 10.1996.

Research output: Contribution to journalArticle

@article{8d6fc28d4dd84cc6871617380df7332d,
title = "The outcomes of cardiopulmonary resuscitation in a medical intensive care unit",
abstract = "Purpose: The purpose of this study is to define the outcome of cardiopulmonary resuscitation in a medical intensive care unit (MICU). The true mortality rate with confidence intervals will be determined and estimates of resource utilization will be presented. Methods: Using a clinical data base that captures demographic, clinical, physiologic and outcomes information a prospective observational trial was conducted on all patient admitted to the UAB MICU over a 16 month period. Patients that required cardiopulmonary resuscitation were identified, and final disposition and resource utilization was determined. Results: 62 (6.1{\%}) of the 1017 patients admitted to the MICU from 10/94 through 2/96 required CPR. Four patients survived to hospital discharge giving a mortality rate of 93.5{\%} (95{\%} CI 86.7 - 100). An admitting diagnosis of arrhythmia or acute myocardial infarction was associated with survival. Only one patient without a cardiac diagnosis survived. For the patients who did not survive to hospital discharge the average number of days of survival after CPR was 2.52 days. Cost data pending. Conclusions: CPR use in a MICU has a high hospital mortality rate with significant induced resource utilization. Clinical Implications: CPR should be restricted in medical intensive care unit patients to patients most likely to benefit.",
author = "Michael Waldrum and Dunlap, {Nancy E.}",
year = "1996",
month = "10",
language = "English (US)",
volume = "110",
journal = "Chest",
issn = "0012-3692",
publisher = "American College of Chest Physicians",
number = "4 SUPPL.",

}

TY - JOUR

T1 - The outcomes of cardiopulmonary resuscitation in a medical intensive care unit

AU - Waldrum, Michael

AU - Dunlap, Nancy E.

PY - 1996/10

Y1 - 1996/10

N2 - Purpose: The purpose of this study is to define the outcome of cardiopulmonary resuscitation in a medical intensive care unit (MICU). The true mortality rate with confidence intervals will be determined and estimates of resource utilization will be presented. Methods: Using a clinical data base that captures demographic, clinical, physiologic and outcomes information a prospective observational trial was conducted on all patient admitted to the UAB MICU over a 16 month period. Patients that required cardiopulmonary resuscitation were identified, and final disposition and resource utilization was determined. Results: 62 (6.1%) of the 1017 patients admitted to the MICU from 10/94 through 2/96 required CPR. Four patients survived to hospital discharge giving a mortality rate of 93.5% (95% CI 86.7 - 100). An admitting diagnosis of arrhythmia or acute myocardial infarction was associated with survival. Only one patient without a cardiac diagnosis survived. For the patients who did not survive to hospital discharge the average number of days of survival after CPR was 2.52 days. Cost data pending. Conclusions: CPR use in a MICU has a high hospital mortality rate with significant induced resource utilization. Clinical Implications: CPR should be restricted in medical intensive care unit patients to patients most likely to benefit.

AB - Purpose: The purpose of this study is to define the outcome of cardiopulmonary resuscitation in a medical intensive care unit (MICU). The true mortality rate with confidence intervals will be determined and estimates of resource utilization will be presented. Methods: Using a clinical data base that captures demographic, clinical, physiologic and outcomes information a prospective observational trial was conducted on all patient admitted to the UAB MICU over a 16 month period. Patients that required cardiopulmonary resuscitation were identified, and final disposition and resource utilization was determined. Results: 62 (6.1%) of the 1017 patients admitted to the MICU from 10/94 through 2/96 required CPR. Four patients survived to hospital discharge giving a mortality rate of 93.5% (95% CI 86.7 - 100). An admitting diagnosis of arrhythmia or acute myocardial infarction was associated with survival. Only one patient without a cardiac diagnosis survived. For the patients who did not survive to hospital discharge the average number of days of survival after CPR was 2.52 days. Cost data pending. Conclusions: CPR use in a MICU has a high hospital mortality rate with significant induced resource utilization. Clinical Implications: CPR should be restricted in medical intensive care unit patients to patients most likely to benefit.

UR - http://www.scopus.com/inward/record.url?scp=33750269104&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33750269104&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:33750269104

VL - 110

JO - Chest

JF - Chest

SN - 0012-3692

IS - 4 SUPPL.

ER -